| Amanda Jean Logan, LPN | |
|
400 Crooked Hill Rd, Brentwood, NY 11717-1039 | |
| (631) 231-3232 | |
| Not Available |
| Full Name | Amanda Jean Logan |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 400 Crooked Hill Rd, Brentwood, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740142215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 355090-01 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jean Logan, LPN 80 Manor Dr, Shirley, NY 11967-4306 Ph: () - | Amanda Jean Logan, LPN 400 Crooked Hill Rd, Brentwood, NY 11717-1039 Ph: (631) 231-3232 |
Mr. Steve Chesterfield Carter, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 197 Strong St, Brentwood, NY 11717 Phone: 631-273-9853 | |
Katharine Ann Gonzalez, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-231-3232 |